NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Kristen J Waggoner, PA

Physician Assistant in Fair Oaks, CA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174827190

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Registry record

Entity type Individual (Type 1)
Name Mrs. Kristen J Waggoner
Credential PA
Sex Female
Practice address Fair Oaks, CA, 95628
Fax (916) 966-8118
Enumeration date Jan 5, 2011
Last updated in NPPES Nov 4, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 20275 (CA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kristen Waggoner's NPI record?
Cross-check NPI 1174827190 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1174827190 active?
Yes, as of the latest NPPES snapshot, NPI 1174827190 is active (record last updated 2014-11-04).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-04.